A Study of the Safety of Topiramate Given in Combination With Other Medications in Adults and Children With Seizures
26 aprile 2010 aggiornato da: Janssen Cilag Pharmaceutica S.A.C.I., Greece
An Open-label Observation Study of Topiramate Administration as Adjuvant Therapy for Focal Epilepsy, Lennox-Gastaut Syndrome Epileptic Seizures and Generalized Tonoclonic Seizures in Adults and Children Aged 2 Years and Older
The purpose of this observational study is to evaluate the safety of topiramate when used in combination with other medications for seizures in adults and children.
Panoramica dello studio
Descrizione dettagliata
Topiramate is a medication that is approved for the treatment of seizures.
In accordance with International guidelines, studies are conducted after a drug is marketed to continue to evaluate and expand the knowledge regarding its safety.
This is an open-label, multi-center observational safety study to collect safety information for oral topiramate given in addition to other medications for 3 types of seizures in adults and in children aged 2 years and older.The 3 seizures types are focal epilepsy, LENNOX-GASTAUT syndrome epileptic seizures and generalized tonic-clonic seizures.
Patients whose previous treatment for seizures (one or more antiepileptic drugs) has been judged by their physician to be non-satisfactory will receive 6 months of treatment with topiramate in addition to other antiepileptic medication as prescribed by their physician.
Topiramate will be given at low doses initially and gradually increased as necessary to control seizure activity in accordance with Summary of Product Characteristics (SmPC).
Patients will be asked to keep a diary of adverse events and seizure activity.
Safety evaluations (incidence of adverse events, physical examinations, vital signs and laboratory tests) will be performed throughout the study per investigators usual standard of care.
At the end of the study, the treating physician may continue treatment with topiramate and other medication as appropriate.
The study hypothesis is that topiramate given in combination with other antiepileptic medications will be effective in achieving and maintaining control of seizure activity and is well-tolerated.
225 adult patients and children aged 2 years or older will be enrolled in the study.
Study participants should demonstrate focal epilepsy or epileptic seizures of the LENNOX-GASTAUT syndrome or generalized tonoclonic seizures, who have undergone treatment with one or more antiepileptic drugs and whose treatment should be judged by the investigator as non-satisfactory.
Observational study - No investigational drug administered.
Tipo di studio
Osservativo
Iscrizione (Effettivo)
153
Criteri di partecipazione
I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.
Criteri di ammissibilità
Età idonea allo studio
2 anni e precedenti (Bambino, Adulto, Adulto più anziano)
Accetta volontari sani
No
Sessi ammissibili allo studio
Tutto
Metodo di campionamento
Campione di probabilità
Popolazione di studio
225 adult patients and children aged 2 years or older will be enrolled in the study.
Study participants should demonstrate focal epilepsy or epileptic seizures of the LENNOX-GASTAUT syndrome or generalized tonoclonic seizures, who should have undergone treatment with one or more antiepileptic drugs and whose treatment should be judged by the inverstigator as non-satisfactory.
Descrizione
Inclusion Criteria:
- Non-premenopausal female patients using a medically acceptable contraceptive method as discussed with their doctor
- History of the type of seizure during the period prior to inclusion in the study and sufficient medical records to document this. Prior treatment until inclusion in the study with one or more antiepileptic drug treatment judged non-satisfactory by the investigator
Exclusion Criteria:
- Patients not suffering from epilepsy, whose seizures are due to other causes including disease, exposure to harmful substances, active infection or tumor
- Patients with a history of generalized status epilepticus (prolonged seizures) within the last three months
- Patients with progressive brain tumor or other progressive or degenerative disorders
- Patients with a history (within the previous six months) of mental or emotional disorders requiring shock treatment or major sedation, monoamine oxidase (MAO) inhibitors or medications which affect the central nervous system
- Patients with any medical or social condition that may affect their ability to take part in study or the safety of the study
- Patients who cannot take the drug or fill in the diary, either alone or with help. If help is needed, it should be permanently available throughout the study
Piano di studio
Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.
Come è strutturato lo studio?
Dettagli di progettazione
- Prospettive temporali: Prospettiva
Coorti e interventi
Gruppo / Coorte |
Intervento / Trattamento |
|---|---|
|
001
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Individualization of the treatment should begin from 25 mg for 1 week.
|
Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Lasso di tempo |
|---|---|
|
Evaluation of the safety of oral topiramate as adjuvant therapy for focal epilepsy, Lennox-Gastaut syndrome epileptic seizures and the generalized tonoclonic seizures in adults and children aged 2 years and older.
Lasso di tempo: At visit 3-8
|
At visit 3-8
|
Misure di risultato secondarie
Misura del risultato |
Lasso di tempo |
|---|---|
|
Safety & tolerability evaluation will be performed by reporting AEs & Clinical labs.
Lasso di tempo: Visits:3-8
|
Visits:3-8
|
|
Evaluation of efficacy will be performed with the aid of descriptive statistics.
Lasso di tempo: Visits:3-8
|
Visits:3-8
|
|
Overall assessments of the improvement in the seriousness of seizures will be performed.
Lasso di tempo: Visits:3-8
|
Visits:3-8
|
Collaboratori e investigatori
Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.
Studiare le date dei record
Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.
Studia le date principali
Inizio studio
1 novembre 2003
Completamento dello studio (Effettivo)
1 giugno 2005
Date di iscrizione allo studio
Primo inviato
24 febbraio 2006
Primo inviato che soddisfa i criteri di controllo qualità
24 febbraio 2006
Primo Inserito (Stima)
28 febbraio 2006
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Stima)
27 aprile 2010
Ultimo aggiornamento inviato che soddisfa i criteri QC
26 aprile 2010
Ultimo verificato
1 aprile 2010
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
- Malattie del cervello
- Malattie del sistema nervoso centrale
- Malattie del sistema nervoso
- Sindromi epilettiche
- Manifestazioni neurologiche
- Malattie genetiche, congenite
- Epilessia
- Convulsioni
- Sindrome di Lennox Gastaut
- Agenti ipoglicemizzanti
- Effetti fisiologici delle droghe
- Anticonvulsivanti
- Topiramato
Altri numeri di identificazione dello studio
- CR003472
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .